Provider Demographics
NPI:1689051468
Name:CURRY, MYRON ELWOOD (CHW)
Entity Type:Individual
Prefix:
First Name:MYRON
Middle Name:ELWOOD
Last Name:CURRY
Suffix:
Gender:M
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6220 SUMMERGROVE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-5200
Mailing Address - Country:US
Mailing Address - Phone:817-417-9090
Mailing Address - Fax:844-855-5208
Practice Address - Street 1:3000 GALVEZ AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-3820
Practice Address - Country:US
Practice Address - Phone:817-417-9090
Practice Address - Fax:844-855-5208
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2730172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker